Healthcare Provider Details

I. General information

NPI: 1851832992
Provider Name (Legal Business Name): MRS. JULIE TROUTMAN HULIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2017
Last Update Date: 03/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1116 CROSSROADS DR
STATESVILLE NC
28625-8277
US

IV. Provider business mailing address

1116 CROSSROADS DR
STATESVILLE NC
28625-8277
US

V. Phone/Fax

Practice location:
  • Phone: 704-871-9824
  • Fax: 704-872-6462
Mailing address:
  • Phone: 704-871-9824
  • Fax: 704-872-6462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number12259
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: